Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.88 / $7,920.26 / $20,400.00	Facility		$669.88	$7,920.26	$20,400.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.41 / $693.19 / $780.46	Professional		$488.41	$693.19	$780.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.70 / $662.77 / $855.06	Facility		$397.70	$662.77	$855.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $434.11 / $594.96 / $611.04	Facility		$434.11	$594.96	$611.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.70 / $744.51 / $5,626.00	Facility		$397.70	$744.51	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $11,474.33 / $13,050.49	Facility		$8,508.06	$11,474.33	$13,050.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00